#14 Claims Reserve Calculator
Take the guesswork out of Claims Reserving & Risk Assessment Using Advanced Claims Intelligence from ODG
Show me the money.
Scrap your pencils, sharpeners and calculators, your spreadsheets, your clunky mainframe computers and your million dollar consultancy agreements.
Open the ODG Reserve Calculator, and show me the money. Medical, indemnity and administrative costs at the claim level from like-cases in the ODG database.
As the dominant guideline vendor in the industry, ODG collects more data -- 3.5 million medical claims and 75 million paid invoices -- and can spread development costs over tens of thousands of entities, bringing predictive analytics to the claims desk with enterprise solutions even for the smallest payers/TPAs.
Go ahead and play with it on the Web version, exporting right from the ODG guidelines by diagnosis, or in the toolbox dropdown of the Navigator Toolbar.
Then get serious, and automate it through a feed from an ODG Application Programming Interface with customer service and developer support from ODG.
Empower your people with premium tools to deliver optimal claim outcomes from ODG.
Contact us to schedule a consultation to ensure you're getting the most from ODG.
"I’m finding it hard to contain my excitement. The industry has been starved of useful information about the exceptional claim. The ODG service is extremely useful in several ways, all stemming from ODG’s success inducing payers to share claims data, which allows ODG to offer the service at relative pennies in contrast to home-grown, consultant-heavy systems. It may be the best-ever profile of the ravages of opioids on claims costs, outcomes and the industry."
A Nifty Tool to Predict Claims Costs | Peter Rousmaniere
WorkCompCentral, December 8th, 2014
Top 20 Recap
#20 RTW Prescription
Take control by setting expectations for best practice return-to-work at intake. Export and share the ODG guidelines and activity modifications with all parties early-on, writing the script for timely return-to-work and helping everyone to learn their lines.
#19 UR Advisor
Approve quality care quickly and engage utilization review only when justified. Don't waste time or money reviewing routine, evidence-based treatment requests while indemnity and frictional costs mount. Make it easy for doctors to do the right thing, and make every UR dollar count.
#18 Comorbidity Calculator
Target and tailor best practice return-to-work date to the individual; benchmark claims data with pinpoint accuracy while understanding the total claim picture.
#17 The Procedure Summaries
Evidence-based medical guidance covering thousands of topics and interventions, with a clear and concise Recommendation Statement, Patient Selection Criteria, Maximum Number of Visits, and Summary of Evidence, along with links to the supporting studies in the National Library of Medicine's PubMed Database, ranked and indexed.
#16 Medline Plus Connect
Through the ODG portal, receive state-of-the-art linkage and indexing to MedlinePlus, a goldmine of quality health information from the world's largest medical library, the National Library of Medicine. Health professionals and patients alike depend on it for information that is authoritative and up-to-date.
#15 Opioid Dosing Alerts
ODG has the most comprehensive, evidence-based opioid guidelines on the market, including a Morphine Equivalent Dose (MED) Calculator with alerts (yellow, red and black) that trigger as claimants approach, then reach, and then exceed evidence-based guideline recommendations.